Academic literature on the topic 'Modified early warning score (MEWS)'

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Journal articles on the topic "Modified early warning score (MEWS)"

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Blumenthal, Elizabeth A., Nina Hooshvar, Miriam McQuade, and Jennifer McNulty. "A Validation Study of Maternal Early Warning Systems: A Retrospective Cohort Study." American Journal of Perinatology 36, no. 11 (2019): 1106–14. http://dx.doi.org/10.1055/s-0039-1681097.

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Objective We compare validation characteristics of four early warning systems for maternal morbidity. Study Design We used a retrospective cohort of severe maternal morbidity cases between January 2016 and December 2016 compared with a cohort of controls. We determined if the modified early obstetric warning score (MEOWS), maternal early recognition criteria (MERC), modified early warning system (MEWS), or maternal early warning trigger (MEWT) would have alerted. We developed criteria to determine which of these alerts was considered clinically “relevant.” Results We reviewed 79 morbidity cases and 123 controls. MEOWS and MERC were more sensitive than MEWS or MEWT (67.1 and 67.1% vs. 19% and 40.5%, p < 0.001); however, MEWT and MEWS were more specific (88.6% MEWT and 93.5% MEWS vs. 51.2% MEOWS and 60.2% MERC, p < 0.001). In the control population, 70% of MEWT alerts still appeared “relevant” to the clinical scenario in contrast to the MEOWS (32%) or MERC systems (31%). Conclusion There are limited comparative data regarding how early warning systems perform in an American population for maternal morbidity. None of the systems performs with high sensitivity and specificity. High-volume, high-acuity units may decide that the lower sensitivity of the MEWT is relatively acceptable when considering the high false trigger rate of the other more sensitive systems. In addition, triggers in the MEWT system were more likely to be clinically relevant even in cases that did not have severe morbidity.
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Aygun, Huseyin, Suna Eraybar, Fatma Ozdemir, and Erol Armagan. "Predictive Value of Modified Early Warning Scoring System for Identifying Critical Patients with Malignancy in Emergency Department." Archives of Iranian Medicine 23, no. 8 (2020): 536–41. http://dx.doi.org/10.34172/aim.2020.56.

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Background: Identification of critically ill patient is particularly important in the emergency department (ED). The prolonged duration from hospital admission to delivering intensive care service is related to increased mortality. The aim of this study is to evaluate the effectiveness of Modified Early Warning Score (MEWS) for identifying critical patients with malignancy in ED settings. Methods: We evaluated patients with malignancy who were admitted to our ED of a tertiary university hospital in Turkey over a three-month period. We evaluated MEWS on admission as MEWS 1. After the initial treatment depending on the patients’ health status in ED, at 2 hours after admission, we evaluated MEWS again and recorded as MEWS 2. All patients were followed up for 30 days after the initial admission. Results: Mean age (SD) was 59.2 (13.5) and male/female ratio was 295/206. MEWS1 was higher than MEWS2, (MEWS1: 3.05 ± 3.31, MEWS2: 2.35 ± 3.17, P < 0.001). A total of 362 patients (72.3%) survived and 139 (27.7%) died within 30 days of initial admission. MEWS1/MEWS2 values for alive and dead patients were 1.66/0.87, and 6.67/6.21, respectively, and the difference was significant (P < 0.001). ROC analysis was performed for MEWS 1; the area under curve (AUC) for hospitalization was 0.768 (95% CI 0.729 to 0.804) and for mortality was 0.900 (95% CI 0.870 to 0.924). ROC analysis revealed a cut-off value of 2 for predicting both hospitalization and mortality in these patients. The sensitivity of the presented cut-off was 77.32% (72.1%–82.0%) for hospitalization and 76.24% (95% CI 71.5–80.5) for mortality; the specificity was 69.52 (95% CI 62.8–75.7) for hospitalization and 90.65 (95% CI 84.65–94.9) for mortality. Conclusion: We found in our study that MEWS evaluation for patients with malignancy on admission to ED is predictive of mortality in the subsequent 30 days, and it is a valuable tool for identifying the critical group. Also, AVPU scores alone can predict mortality in patients admitted to ED.
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Jiang, Xiaobin. "An improved modified early warning score that incorporates the abdomen score for identifying multiple traumatic injury severity." PeerJ 8 (October 27, 2020): e10242. http://dx.doi.org/10.7717/peerj.10242.

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Background Rapid identification of trauma severity is essential for the timely triage of multiple trauma patients. Tools such as the modified early warning score (MEWS) are used for determining injury severity. Although the conventional MEWS is a good predictor of mortality, its performance assessing injury severity is moderate. This study hypothesized that adding an injury site severity-related score (e.g., abdomen score) may enhance the capability of the MEWS for identifying severe trauma. Method To validate the hypothesis, we propose an improved modified early warning score called MEWS-A, which incorporates an injury site-specific severity-related abdomen score to MEWS. The utility of MEWS and MEWS-A were retrospectively evaluated and compared for identifying trauma severity in adult multiple trauma patients admitted to the emergency department. Results We included 1,230 eligible multiple trauma patients and divided them into minor and severe trauma groups based on the injury severity score. Results of logistic regression and receiver operating characteristic (ROC) curve analyses showed that the MEWS-A had a higher area under the ROC curve (AUC: 0.81 95% CI [0.78–0.83]) than did the MEWS (AUC: 0.77 95% CI [0.74–0.79]), indicating that the MEWS-A is superior to the MEWS in identifying severe trauma. The optimal MEWS-A cut-off score is 4, with a specificity of 0.93 and a sensitivity of 0.54. MEWS-A ≥ 4 can be used as a protocol for decision-making in the emergency department. Conclusions Our study suggests that while the conventional MEWS is sufficient for predicting mortality risk, adding an injury site-specific score (e.g., abdomen score) can enhance its performance in determining injury severity in multiple trauma patients.
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Khan, Amena, Digvijoy Sarma, Chiranth Gowda, and Gabriel Rodrigues. "The Role of Modified Early Warning Score (MEWS) in the Prognosis of Acute Pancreatitis." Oman Medical Journal 36, no. 3 (2021): e272-e272. http://dx.doi.org/10.5001/omj.2021.72.

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Objectives: Modified Early Warning Score (MEWS) is a reliable, safe, instant, and inexpensive score for prognosticating patients with acute pancreatitis (AP) due to its ability to reflect ongoing changes of the systemic inflammatory response syndrome associated with AP. Our study sought to determine an optimal MEWS value in predicting severity in AP and determine its accuracy in doing so. Methods: Patients diagnosed with AP and admitted to a single institution were analyzed to determine the value of MEWS in identifying severe AP (SAP). The highest MEWS (hMEWS) score for the day and the mean of all the scores of a given day (mMEWS) were determined for each day. Sensitivity, specificity, negative predictive value (NPV), and positive predictive values (PPV) were calculated for the optimal MEWS values obtained. Results: Two hundred patients were included in the study. The data suggested that an hMEWS value > 2 on day one is most accurate in predicting SAP, with a specificity of 90.8% and PPV of 83.3%. An mMEWS of > 1.2 on day two was the most accurate in predicting SAP, with a sensitivity of 81.2%, specificity of 76.6%, PPV of 69.8%, and NPV of 85.9%. These were found to be more accurate than previous studies. Conclusions: MEWS provides a novel, easy, instant, repeatable, and reliable prognostic score that is comparable, if not superior, to existing scoring systems. However, its true value may lie in its use in resource-limited settings such as primary health care centers.
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Somasundaram, Umesh Raj, and Esakki Santhiyagappan. "A tertiary care centre experience of modified early warning score (MEWS) in post-operative patients." International Surgery Journal 5, no. 11 (2018): 3536. http://dx.doi.org/10.18203/2349-2902.isj20184618.

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Background: The aim of the study is to analyse and implement the modified early warning score (MEWS) in assessment of need of early intervention and surgical intensive care unit (SICU) admission in patients undergoing elective and emergency major surgical procedures.Methods: This prospective study was done in Coimbatore Medical College and Hospital, Coimbatore, Tamil Nadu. It included 150 patients who underwent major emergency and elective surgical procedures under regional or general anaesthesia with monitoring of physiological parameters in the P.O period.Results: The predictability of MEWS system was analyzed with the following results: MEWS 1=77 patients were alive (51.3%) of the study population. MEWS 8=3 patients were alive (2.1%) and 7 patients died (100%) of the study population. This indicates that the greater MEWS the mortality of the patient rises, and the lesser MEWS score the chances of mortality in the P.O period is very minimal. In our study, we have derived that MEWS score of 7 or 8 implicates the need for SICU admission and it indicates an increased mortality of the patient in the P.O period.Conclusions: The Modified Early Warning Score (MEWS) is an effective tool in identifying the early deterioration of the patients undergoing major surgical procedures and assessing the need for admission in SICU for further interventions.
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Montenegro, Sayane Marlla Silva Leite, and Carlos Henrique Miranda. "Evaluation of the performance of the modified early warning score in a Brazilian public hospital." Revista Brasileira de Enfermagem 72, no. 6 (2019): 1428–34. http://dx.doi.org/10.1590/0034-7167-2017-0537.

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ABSTRACT Objective: To evaluate the performance of the modified early warning score (Mews) in a nursing ward for patients in clinical deterioration. Method: This is an analytical, quantitative and predictive study. Mews’ parameters (systolic blood pressure, heart rate, respiratory rate, temperature and level of consciousness) were evaluated every six hours. The following events were reported: death, cardiopulmonary arrest and transfer to intensive care. The evaluations were performed in a hospital of reference in the state of São Paulo, Brazil. Results: A total of 300 patients were included (57 ± 18 years old, males: 65%). There number of combined events was observed to be greater the higher the score’s value (00%; 00%; 01; 09%; 19%; 28%; 89%, respectively, for Mews 0; 1; 2; 3; 4; 5 and 6; p < 0.0001). Mews ≥ 4 was the most appropriate cut-off point for prediction of these events (sensitivity: 87%, specificity: 85% and accuracy: 0.86). Conclusion: Mews properly measured the occurrence of severe events in hospitalized patients of a Brazilian public hospital’s nursing ward. Mews ≥ 4 seems to be the most appropriate cut-off point for prediction of these events.
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Mussa, Constance, and Afnan Al-Raimi. "2495 Respiratory therapists’ awareness and intention to use the electronic modified early warning score (eMEWS)." Journal of Clinical and Translational Science 2, S1 (2018): 60. http://dx.doi.org/10.1017/cts.2018.224.

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OBJECTIVES/SPECIFIC AIMS: To determine if an educational intervention designed to increase respiratory therapists’ knowledge of the modified early warning score (MEWS) would influence their intention to use the MEWS. METHODS/STUDY POPULATION: A web-based self-administered survey based on the constructs of the TAM as well as awareness, attitude, and job-relevance was developed and validated using traditional scale development process and distributed to 75 respiratory therapists (RTs) from the respiratory care department of Rush University Medical Center. RTs were recruited for participation in the study using consecutive sampling. The RTs were then given a training session on the MEWS after which they were again asked to complete the survey. RESULTS/ANTICIPATED RESULTS: The response rate to both the pre and post survey was 60 percent. Of the 46 participants recruited to the study, the educational intervention elicited an increase in the MEWS knowledge score in 45 participants compared with the knowledge score prior to the educational intervention. Additionally, there was an increase in the behavioral intention score post intervention in 30 participants compared with the behavioral intention score before the educational intervention. A Wilcoxon signed-rank test determined that there was a statistically significant median increase in MEWS knowledge score (2.0) post educational intervention (4.0) compared with pre-educational intervention (2.0), p<0.0005. There was also a statistically significant median increase in behavioral intention score (0.667) pre-educational intervention (4.0) compared with posteducational intervention (3.0), p<0.0005. DISCUSSION/SIGNIFICANCE OF IMPACT: Numerous studies over the last 4 decades have demonstrated that change in behavioral intention is a good predictor of change in behavior. Consequently, the increase in the respiratory therapists’ behavioral intention score post MEWS education suggests that they may be more inclined to incorporate the MEWS score in their assessment of patients if they are educated about its clinical relevance. Additionally, the study results verified key postulates of the TAM, suggesting that the TAM is an appropriate model for assessing respiratory therapists’ perception and reaction to new systems, and may also help respiratory care managers develop new mechanisms that facilitate respiratory therapists’ adoption of new systems and processes.
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Colombo, Fabrizio, Lucia Taurino, Giulia Colombo, et al. "The Niguarda MEWS, a new and refined tool to determine criticality and instability in Internal Medicine Ward and Emergency Medicine Unit." Italian Journal of Medicine 11, no. 3 (2017): 310. http://dx.doi.org/10.4081/itjm.2017.826.

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This study compares the effect of the modified early warning score (MEWS) <em>versus</em> a new early warning system (Niguarda MEWS) for detecting instability and criticality in hospital medical departments. A retrospective observational study was conducted in the Internal Medicine ward of Niguarda Ca’ Granda Hospital in Milan between November 2013 and October 2014. MEWS and Niguarda-MEWS were gathered using: systolic blood pressure, respiratory frequency, heart rate, temperature, level of consciousness, oxygen saturation, creatinine level, hematocrit level and age. In order to determine if the patient was critical or not the MEWS criticality cut-off value chosen was 3, while in the Niguarda MEWS it was 6. The primary outcome was the correlation between the critical level of the two scores and in-hospital mortality. The secondary endpoint was the correlation between a specific disease and the two scores. In the study, 471 patients were included, using both the MEWS and the Niguarda MEWS score at admittance: 33.4% of patients turned out to be critically ill using the former, 40.98% when using the latter. Therefore, the specificity of scores was 70% for MEWS and 73% for Niguarda MEWS, the sensitivity 58% for MEWS and 63% for Niguarda MEWS, Niguarda MEWS area under the curve (AUC): 0.736, MEWS AUC: 0.670. For the secondary outcome, the new score is higher for genitourinary and respiratory diseases. Niguarda-MEWS could be an optimal tool to detect criticality and instability in order to address the patient to the right level of care.
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Gardner-Thorpe, J., N. Love, J. Wrightson, S. Walsh, and N. Keeling. "The Value of Modified Early Warning Score (MEWS) in Surgical In-Patients: A Prospective Observational Study." Annals of The Royal College of Surgeons of England 88, no. 6 (2006): 571–75. http://dx.doi.org/10.1308/003588406x130615.

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INTRODUCTION The Modified Early Warning Score (MEWS) is a simple, physiological score that may allow improvement in the quality and safety of management provided to surgical ward patients. The primary purpose is to prevent delay in intervention or transfer of critically ill patients. PATIENTS AND METHODS A total of 334 consecutive ward patients were prospectively studied. MEWS were recorded on all patients and the primary end-point was transfer to ITU or HDU. RESULTS Fifty-seven (17%) ward patients triggered the call-out algorithm by scoring four or more on MEWS. Emergency patients were more likely to trigger the system than elective patients. Sixteen (5% of the total) patients were admitted to the ITU or HDU. MEWS with a threshold of four or more was 75% sensitive and 83% specific for patients who required transfer to ITU or HDU. CONCLUSIONS The MEWS in association with a call-out algorithm is a useful and appropriate risk-management tool that should be implemented for all surgical in-patients.
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Aligawesa, Mariam, and Di Marks-Maran. "Meeting physical health needs: The Modified Early Warning Score (MEWS) project." British Journal of Mental Health Nursing 6, no. 2 (2017): 73–80. http://dx.doi.org/10.12968/bjmh.2017.6.2.73.

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Dissertations / Theses on the topic "Modified early warning score (MEWS)"

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de, Mander Jessica, and Jonathan Danielson. "Modified Early Warning Score bland onkologiska patienter innan dödsfall." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-215577.

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Bakgrund: Modified Early Warning Score (MEWS) är ett bedömningsinstrument för utvärdering av patienters vitalparametrar. Verktygets funktion är att genom strukturerade observationer identifiera patienter med sviktande vitala funktioner, och således kunna vidta åtgärder innan patienten avlider eller kräver intensivvård. Nyttan av MEWS inom onkologisk heldygnsvård är än så länge dokumenterat i mycket liten utsträckning. En studie från 2012 indikerar att MEWS inte är ett effektivt verktyg för att förutse försämringar hos onkologiska patienter.   Syfte: Att undersöka om patienter inom onkologisk vård uppvisar MEWS 0-17 poäng veckan innan dödsfall. Vidare ämnar författarna vilka specifika parametrar inom MEWS som orsakade förhöjda totalpoäng, samt om några skillnader föreligger mellan män och kvinnor. Metod: Retrospektiv journalgranskningsstudie där dokumentation av MEWS-bedömningar granskades i 70 patientjournaler. Resultat: Undersökningsgruppen hade ett genomsnittligt MEWS på 2,99 under den sista levnadsveckan. Av de enskilda variablerna inom MEWS var andningsfrekvens den som oftast gav poäng ≥1. Det genomsnittliga värdet av MEWS steg från 3,13 poäng det sjunde sista till 8 poäng det sista levnadsdygnet, men på grund av den låga frekvensen av mätningar under det sista levnadsdygnet kan inga slutsatser dras från resultatet. Inga signifikanta skillnader mellan män och kvinnor har identifierats. Låg förekomst av registrerade MEWS hos avlidna onkologpatienter orsakade ett stort initialt bortfall.   Slutsats: Studien indikerar att MEWS används i liten utsträckning på onkologiska patienter innan dödsfall. Det är dock inte möjligt att med detta underlag uttala sig om huruvida MEWS är ett relevant verktyg inom den onkologiska vården, och vidare forskning måste därför göras.<br>Background: Modified Early Warning Score, MEWS, is a scoring system (0-17 points) for assessment of patients’ vital signs. The function of MEWS is to detect deteriating patients at an early stage, and being able to put in adequate treatment before their physical condition worsens. The benefits from using MEWS on oncology patients have so far been researched to small extent. A study from 2012 indicates that MEWS is not an effective tool for detecting deteriation in oncology patients.   Objective: To research if oncology patients have scores 0-17 on MEWS measurements the week before they are deceased. The writers also intend to research which certain parameters within MEWS caused higher overall scores, and lastly whether there are any differences in scores between men and women.   Methods: A retrospective review of medical records was performed on a total of 104 MEWS measurements belonging to 70 deceased patients. Results: The main results show an average MEWS of 2,99 points during the last week of the patients’ lives. Respiratory rate was the variable within MEWS to cause elevated scores (≥1) most often. The average MEWS increased from 3,13 points the seventh day before death to 8 points the last day before death, but due to the low frequency of measurements from the last day of the patients’ lives, it is not possible to make any assumptions based on these results. Furthermore, the initial loss of patients meeting the inclusion criteria was substantial due to low prevalence of registered MEWS.   Conclusion: The results indicate that MEWS is not used on oncology patients to a great extent. It is not, however, possible to determine whether MEWS is a relevant assessment tool in care of oncology patients, and further research is therefore needed.
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Gozzi, Svensson Viktoria, and Sofia Sundbom. "Kartläggning av Modified Early Warning Score (MEWS) hos patienter med kirurgiska åkommor." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-202741.

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SAMMANFATTNING     Bakgrund: Patienter på kirurgavdelningar är komplexa såtillvida att de förutom den kirurgiska åkomman kan ha olika medicinska diagnoser vilket ofta komplicerar både vården, behandlingen samt medför svårigheter i att upptäcka ett försämrat tillstånd. För att kunna bedöma patientens tillstånd och få en uppfattning om hur denne mår måste objektiva och lätt mätbara parametrar användas. Modified Early Warning Score (MEWS) är ett poängsystem som mäter några av patientens vitala funktioner och baseras på sex mätbara/bedömningsbara  funktioner: andningsfrekvens, puls, systoliskt blodtryck, kroppstemperatur, vakenhet och urinmängd. Poängsumman varierar mellan 0 och 17, där 0 är normalt.   Syfte: Att kartlägga fördelningen av poäng enligt MEWS hos akuta patienter med kirurgiska åkommor på två kirurgavdelningar på ett universitetssjukhus i Sverige samt undersöka vilka åtgärder som vidtagits vid respektive poäng enligt MEWS.   Metod: Retrospektiv journalgranskningsstudie  där dokumentation av mätningar med MEWS för 94 patienter granskades.   Resultat: Totalt återfanns 229 poäng enligt MEWS varav 76 var från mätningar vid ankomst till avdelning och resterande  153 från mätningar under fortsatt vårdtid. Antalet MEWS-mätningar per patient varierade mellan  1 och 31. Nitton åtgärder som ingår i sjuksköterskans profession kopplade till en poäng enligt MEWS återfanns. De mest förekommande åtgärderna var att ge smärtstillande läkemedel på generell ordination samt att utföra upprepade kontroller av patientens vitala funktioner. Tjugotvå medicinska åtgärder kopplade till en poäng enligt MEWS återfanns. De mest  förekommande medicinska åtgärderna var att ordinera provtagning eller odling samt att ordinera  extra dropp. Inte i något fall ledde en poäng enligt MEWS till att någon patient flyttade till en högre vårdnivå.   Slutsats: Det fanns mätningar enligt MEWS för 85 % av patienterna där medianpoängen var 1 av maximala 17. Medianpoängen när åtgärd som ingår i sjuksköterskans profession eller medicinska åtgärder vidtogs var 4. De vanligaste åtgärderna var att ge smärtstillande läkemedel på generell ordination, göra upprepade kontroller, ordinera provtagning,  odling eller extra dropp.<br>ABSTRACT     Background: Patients with surgical conditions are complex, since many patients have various medical diagnoses besides their surgical condition. Apart from complicating care and treatment, this makes it difficult to detect deterioration in the patient's condition. In order to assess the patient's condition, objective and easily measurable parameters are preferably used. A scoring system, the Modified Ear­ ly Waming Score, MEWS, was developed in the early 1990s and based on some ofthe patient's vital functions: respiratory rate, heart rate, systolic blood pressure, body temperature, alertness/awareness and urine output. The result varies between 0 and 17, with 0 demonstrating normal vital functions.   Objective: To describe the distribution of MEWS scores for emergency patients with surgical condi­ tions in two surgical wards at a university hospital in Sweden, and to examine what actions had been taken based on the MEWS scores.   Methods: A retrospective review was performed on MEWS measurements and medical records for 94 patients.   Results: In total, 229 MEWS measurements had been performed, ofwhich 76 were taken on arrival at the ward, and the remaining 153 &lt;luring the continued hospitalization. The number ofMEWS measurements per patient ranged from 1 to 31. Nineteen actions, based on MEWS scores, related the nursing professions were found, with the administration of painkillers and repeated checks ofthe pa­ tient's vital functions, being the two most common. Twenty-two medical procedures, based on MEWS scores, were identified, where sampling for bacterial cultures or prescribing extra intravenous fluid were the most frequent. No patient was transferred toa higher level of care because of their MEWS score.   Conclusion: MEWS measurements were performed in 85% of the patients and the median result was 1 of maximum 17. Different actions, related the nursing or medical profession, were taken at a me­ dian result of 4. No patient was transferred toa higher level of care. The most common actions were administration of painkillers, repeated checks ofthe patient's vital functions, sampling for bacterial cultures and prescribing extra intravenous fluid
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Prinsloo, Cathrina Johanna. "Self-leadership strategies of nurses in an outreach service at a private hospital group in Gauteng." University of the Western Cape, 2018. http://hdl.handle.net/11394/6844.

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Philosophiae Doctor - PhD<br>Critical Care Outreach Services (CCOSs) recognize early sign of deterioration in medical units, regarding the condition of the patient, by using elements of vital sign tracking namely modified early warning score (MEWS). Nurses as leaders should be proactive by using influence to obtain a desired outcome. It is unclear how nurses experience self-leadership in this outreach service in a private hospital in Pretoria. The purpose of this research was to understand nurses’ experience of their self-leadership in the current CCOS at a private hospital in Pretoria, in order to develop self-leadership strategies that could contributes to the implementation of a CCOS (for the broader population of nurses) in a private hospital group in Gauteng. In this research the steps as outlined in the self-leadership strategic framework of Neck and Milliman (1994) were adapted for this research. The theoretical assumptions furthermore informed the methodological steps followed in the research process. The theoretical assumptions of the Practice Orientated Theory of Dickoff, James and Wiedenbach (1968) were adapted and the survey lists of this theory served as a reasoning map in this research. The central statement of this research was that, nurses need to lead themselves in implementing a CCOS in general wards in a private hospital group in Gauteng.
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Conference papers on the topic "Modified early warning score (MEWS)"

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Alroughi, Mufleh, and Constance Mussa. "1 Use of the modified early warning score (MEWS) to predict MICU readmission." In EBM Live Abstracts, July 2019, Oxford, UK. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/bmjebm-2019-ebmlive.9.

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Abidin, Zaenal, Nissa Aruming Sila, Alwan Revai, and Gusti Pandi Liputo. "Modified Early Warning System (Mews), Indicator Of Changes In Patient's Condition In The General Wards: A Sistematic Review." In 8th International Nursing Conference on Education, Practice and Research Development in Nursing (INC 2017). Atlantis Press, 2017. http://dx.doi.org/10.2991/inc-17.2017.19.

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Desai, Alpa G., Barbara Mills, and Lucy B. Palmer. "Elevated Modified Early Warning Score Preceding RRT Does Not Predict Need For Critical Care Unit." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a3999.

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Frinton, Emily, Catherine Malia, Rebecca Owen, and Hannah Zacharias. "104 Modified early warning score (EWS) to aid identification of the deteriorating patient at st gemma’s hospice." In The APM’s Supportive & Palliative Care Conference, Accepted Oral and Poster Abstract Submissions, The Harrogate Convention Centre, Harrogate, England, 21–22 March 2019. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjspcare-2019-asp.127.

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Woods, SJ, and A. Kumar. "G225(P) Meows (modified early obstetric warning scores) can reduce the number of asymptomatic babies treated with intravenous (IV) antibiotics at birth." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference and exhibition, 13–15 May 2019, ICC, Birmingham, Paediatrics: pathways to a brighter future. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-rcpch.220.

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Allarakia, Jawad, Taher Felemban, Amer Alghamdi, et al. "3 Modified early warning score as a predictor for intensive care unit admission in chemotherapy- receiving oncology patients with positive blood culture." In Patient Safety Forum 2019, Conference Proceedings, Kingdom of Saudi Arabia, Ministry of National Guard Health Affairs. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjoq-2019-psf.3.

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Chen, P. K., S. W. Pan, W. K. Yu, H. K. Kuo, and D. W. Perng. "Modified Score Combining National Early Warning Scores with Age (A-NEWS) as a Predictor of ICU Mortality in Elderly Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a5069.

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